bullbion.blogg.se - Cardiac catheterization interpretation of findings

Assist in procedures of unstable and complex patients, including those with acute coronary syndromes, complex valvular heart disease, and congenital heart disease.Recite indications for vascular closure devices and associated complications.Review indications for percutaneous coronary intervention.

Integrate findings of coronary angiography, ventriculography, and hemodynamic assessments to formulate appropriate management plan in the context of the clinical scenario.Review fundamentals of hemodynamics in patients with myocardial, pericardial, and pulmonary vascular diseases.Review indications and potential complications of endomyocardial biopsy.Ģnd year fellow (two to four rotations) In addition to the above:.Review indications and potential complications of pericardiocentesis.Understand indications, contraindications, and complications of peripheral vascular angiography.

Understand peripheral vascular anatomy.Manage complications of cardiac catheterization.Perform left ventriculography under supervision and determine left ventricular ejection fraction.Review fundamentals of hemodynamics in patients with valvular disease and heart failure.Perform right heart catheterization under supervision.Interpret coronary angiography with assistance.Perform coronary angiography and catheter manipulation under supervision.Recognize coronary anatomy, variations, congenital abnormalities, and coronary blood flow physiology.Perform intravascular catheter insertion to obtain both arterial and venous access (with ultrasound when indicated) and obtain hemostasis.Understand mechanism of action of anesthetic, antiplatelet, anticoagulant, and vasoactive medications.Understand fundamentals of radiation safety.Recognize comorbidities that lead to increased risk and the appropriate interventions to mitigate risk (including kidney disease).Explain the procedure, potential complications, risks/benefits/alternatives to patients and families and obtain informed consent.

Know indications and contraindications for right and left heart catheterization as well as associated complications.

Objectives 1st year fellow (one rotation)

Therapeutic procedures such as pericardiocentesis, intra-aortic balloon pumping, endomyocardial biopsies, and temporary transvenous pacemaker insertion.

Angiography to evaluate the presence of vascular obstruction or other abnormalities, contractile function the left ventricle, and valvular lesions.

Determination of cardiac function, evaluation of shunts, and valvular disease.

Hemodynamic assessment – recording of pressures in the cardiac chambers and the vascular tree.

The goals and objectives of training in the invasive laboratory include: Fellows will also be expected to interact professionally with patients, families, and all members of the invasive cardiology team. The goal of the cardiac catheterization rotation is to train fellows in the diagnostic and therapeutic role of cardiac catheterization in the management of all types of cardiovascular disease including coronary, structural, primary myocardial, pericardial, congenital, and peripheral vascular disease.įellows will also be expected to attend a weekly cardiac catheterization conference designed to address the role of cardiac catheterization/intervention in various disease processes.